Abstract
The original description of "floppy" Nissen fundoplication was that of an open procedure involving a large esophageal bougie, complete fundic mobilization, ligation of the short gastric vessels, and placement of a finger or a dilator under the completed fundoplication to assure laxity. A maneuver equivalent to the latter step during laparoscopic Nissen fundoplication has not been described. The consensus in the literature appears to be that the element of a fundoplication that defines it as floppy is complete mobilization of the fundus. We report an intraoperative maneuver that assures the fundoplication has adequate laxity. We also discuss several other maneuvers to assure proper formation of the fundoplication and to minimize side effects such as long-term dysphagia.
| Original language | English |
|---|---|
| Pages (from-to) | 724-727 |
| Number of pages | 4 |
| Journal | American Journal of Surgery |
| Volume | 187 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jun 2004 |
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All Science Journal Classification (ASJC) codes
- Surgery
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Technical factors in the creation of a "floppy" Nissen fundoplication. / Davis, Richard E.; Awad, Ziad T.; Filipi, Charles.
In: American Journal of Surgery, Vol. 187, No. 6, 06.2004, p. 724-727.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Technical factors in the creation of a "floppy" Nissen fundoplication
AU - Davis, Richard E.
AU - Awad, Ziad T.
AU - Filipi, Charles
PY - 2004/6
Y1 - 2004/6
N2 - The original description of "floppy" Nissen fundoplication was that of an open procedure involving a large esophageal bougie, complete fundic mobilization, ligation of the short gastric vessels, and placement of a finger or a dilator under the completed fundoplication to assure laxity. A maneuver equivalent to the latter step during laparoscopic Nissen fundoplication has not been described. The consensus in the literature appears to be that the element of a fundoplication that defines it as floppy is complete mobilization of the fundus. We report an intraoperative maneuver that assures the fundoplication has adequate laxity. We also discuss several other maneuvers to assure proper formation of the fundoplication and to minimize side effects such as long-term dysphagia.
AB - The original description of "floppy" Nissen fundoplication was that of an open procedure involving a large esophageal bougie, complete fundic mobilization, ligation of the short gastric vessels, and placement of a finger or a dilator under the completed fundoplication to assure laxity. A maneuver equivalent to the latter step during laparoscopic Nissen fundoplication has not been described. The consensus in the literature appears to be that the element of a fundoplication that defines it as floppy is complete mobilization of the fundus. We report an intraoperative maneuver that assures the fundoplication has adequate laxity. We also discuss several other maneuvers to assure proper formation of the fundoplication and to minimize side effects such as long-term dysphagia.
UR - http://www.scopus.com/inward/record.url?scp=2942548108&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=2942548108&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2003.10.014
DO - 10.1016/j.amjsurg.2003.10.014
M3 - Article
VL - 187
SP - 724
EP - 727
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 6
ER -